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CompletedNCT07824024Updated Sep 17, 2026

A Phase III Study of Hemofence for Hemostasis in Patients With Uncontrolled Exudative Hemorrhage During Spinal Or Orthopedic Surgery

A Phase 3 interventional study of Hemofence and Floseal hemostatic matrix in Surgical Hemorrhage, sponsored by BMI Korea. Completed at 3 sites in South Korea. Open to participants aged 19 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-09-17.

Sponsored by BMI Korea · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Registered 5 years 9 months after the study started (first participant enrolled Dec 2020, registered Sep 2026).

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Phase
Phase 3
Study type
Interventional
Enrollment
172
Allocation
Randomized
Ages
19 Years to 80 Years
Sex
All
01

Study summary

This Phase 3 study was conducted to evaluated the efficacy and safety of Hemofence compared with Floseal Hemostatic Matrix in patients undergoing spinal or orthopedic surgery who required hemostasis for exudative bleeding that could not be adequately controlled by conventional procedures. Eligible participants were randomly assigned in a 1:1 ratio to receive either Hemofence or Floseal Hemostatic Matrix. The primary objective was to demonstrate the non-inferiority of Hemofence to Floseal Hemostatic Matrix based on the proportion of participants who achieved successful hemostasis within 10 minutes after the initial application of the assigned treatment at the first bleeding site. Safety was assessed through adverse events, clinical laboratory tests, vital signs, electrocardiograms, and physical examinations.

02

Conditions studied

  • Surgical Hemorrhage

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Keywords

  • Exudative hemorrhage
  • Oozing bleeding
  • Surgical hemostasis
  • Spinal surgery
  • Orthopedic surgery
  • Hemofence
  • Floseal Hemostatic Matrix
03

In context

Blood Loss, Surgical

213 studies on the registry are indexed under Blood Loss, Surgical; 40 are open to participants now.

This study's enrollment of 172 is above the median of 80 across 160 interventional studies indexed under Blood Loss, Surgical.

Browse Blood Loss, Surgical studies →

Lead sponsor

BMI Korea is the lead sponsor of 4 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
19 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • [At Screening (Preoperative)]
  • Individuals aged 19 years or older and under 80 years, scheduled for non-emergency spinal/orthopedic surgery
  • Subjects who have voluntarily agreed to participate after receiving a thorough explanation of the clinical trial and fully understanding its details, and who have provided written to comply with the instructions of the trial

[Surgery Day (Preoperative)]

  • Subjects with an result of ≤ 1.5 in tests performed before surgery
  • Subjects with normal function or results below the lower limit of normal in platelet adhesion COL/EPI tests, but deemed clinically insignificant by the investigator

[Surgery Day (Intraoperative)]

  • Subjects requiring hemostasis for exudative hemorrhage that cannot be effectively controlled or is uncontrollable by conventional procedures
  • Subjects without severe arterial bleeding or similar conditions

Exclusion criteria

Exclusion Criteria:

  • Subjects who received or plasma transfusions affecting hemostasis within 3 weeks prior to the surgery day
  • Subjects with active infections at the surgical site
  • Subjects with a history of bleeding, platelet, or bone marrow disorders
  • Subjects with coagulation disorders
  • Subjects with immune system diseases
  • Subjects currently receiving or scheduled to receive procoagulants, antifibrinolytics, or aprotinin during surgery
  • Subjects scheduled to use antibiotic solutions or powders at the product application site during surgery (excluding irrigation agents applied after the hemostasis evaluation at the investigational product application site and during surgical site closure)
  • Subjects who received medication affecting bleeding and hemostasis (e.g., anticoagulants, antiplatelet agents, thrombolytics such as aspirin, clopidogrel, NSAIDs, warfarin) within 7 days prior to the surgery date (Visit 2)
  • Subjects who expected to require anticoagulatnt therapy within 48 hours postoperatively
  • Subjects with to bovine-derived materials or any component of the investigational product
  • Subjects with renal implairment (serum creatinine levels exceeding 1.5 times the institution's )
  • Subjects with hepatic impairment ( or AST levels exceeding 3.0 times the institution's upper limit of normal)
  • Subjects with disease such as disseminated intravascular coagulation (DIC) or other conditions of concern regarding decreased fibrinolytic system activity
  • Subject with a history of alcohol or drug abuse
  • Female subjects with or male subjects with partners of childbearing potential who are unwilling to use medically accepted methods during the clinical trial period (e.g., hormonal contraception, intrauterine device [IUD] or intrauterine system [IUS], tubal ligation, double barrier methods such as male or female condoms, cervical caps, diaphragms, or sponges combined with spermicide, or a single barrier method with spermicide)
  • Pregnant or breastfeeding women
  • Subjects who participated in another clinical trial within 4 weeks prior to this trial
  • Any other condition that the investigator deems unsuitable for participation
Terms in these criteria, in plain language(9)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
172 participants (actual)

Study arms

  • Experimental
    Experimental Group

    Participants assigned to this arm received Hemofence for exudative bleeding that could not adequately controlled by conventional procedures during spinal or orthopedic surgery.

    Drug: Hemofence

  • Active comparator
    Active Control Group

    Participants assigned to this arm received Floseal Hemostatic Matrix for exudative bleeding that could not adequately controlled by conventional procedures during spinal or orthopedic surgery.

    Drug: Floseal hemostatic matrix

Interventions

  • DrugHemofence

    Hemofence was applied during spinal or orthopedic surgery to exudative bleeding that could not be adequately controlled conventional procedures. One kit was applied per 3X3cm² bleeding area. The treatment was applied to the first and, if present, second eligible bleeding sites. If bleeding persisted, one additional application was permitted at each site. Hemostasis was assessed within 10 minutes after the initial application.

  • Floseal Hemostatic Metrix was applied during spinal or orthopedic surgery to exudative bleeding that could not be adequately controlled conventional procedures. One kit was applied per 3X3cm² bleeding area. The treatment was applied to the first and, if present, second eligible bleeding sites. If bleeding persisted, one additional application was permitted at each site. Hemostasis was assessed within 10 minutes after the initial application.

06

What researchers measure

Primary outcomes

  1. Percentage of Participants With Successful Hemostasis at the First Bleeding Site Within 10 Minutes

    Time frame: Within 10 minutes after the initial application of the assigned treatment

Secondary outcomes

  1. Percentage of Participants With Successful Hemostasis at the Second Bleeding Site

    Time frame: Within 10 minutes after the initial or subsequent application of the assigned treatment

  2. Time to Hemostasis at the First Bleeding Site

    Time frame: From application of the assigned treatment until hemostasis, up to 10 minutes

  3. Time to Hemostasis at the Second Bleeding Site

    Time frame: From application of the assigned treatment until hemostasis, up to 10 minutes

07

Study locations

3 sites
  • Hanllym University Dongtan St.Heart Hospital
    Hwaseong-si, South Korea
  • Korea University Anam Hospital
    Seoul, South Korea
  • Korea University Guro Hospital
    Seoul, South Korea
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Dec 2020 to primary completion in Mar 2022, 15 months.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 11, 2026
First posted
Sep 17, 2026
StartActual
Dec 3, 2020
Primary completionActual
Mar 24, 2022
CompletionActual
Apr 19, 2022
Last update
Sep 17, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 17, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07824024
Lead sponsor
BMI Korea
Responsible party
Sponsor
First posted
Sep 17, 2026
Start date
Dec 3, 2020
Primary completion
Mar 24, 2022
Completion
Apr 19, 2022
Last update
Sep 17, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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